Individual
JOHN N BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36051096
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
036051096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051096
—
IL
01
—
36051096
LICENSE
IL
Enumeration date
07/05/2006
Last updated
04/13/2009
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